Active NPI
Harvey a. Gilbert, MD. Inc.
- Radiation Oncology Physician
- Stockton, CA
National Provider Identifier
1699965962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- Legal business name
- HARVEY A. GILBERT, MD. INC.
- Practice address
- 2505 W Hammer LN
Stockton, CA 95209-2839 - Phone
- (209) 365-1761
- Fax
- (209) 333-3673
- NPI assigned
- Aug 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Harvey A Gilbert, MD
- Title
- Owner/Director
- Phone
- (209) 365-1761
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | Primary |
Addresses
Primary practice location
2505 W Hammer LN
Stockton, CA 95209-2839
Mailing address
311 S Ham LN
Lodi, CA 95242-3512
Phone (209) 365-1761
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A923390 | Medicaid | CA | |
| GR0103050 | Medicaid | CA | |
| 00C283720 | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- Harvey a Gilbert MD Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Radiation Oncology Physician
- Jackson, CA
- NPI 1285824532
-
- Radiation Oncology Physician
- San Andreas, CA
- NPI 1548451768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199404800000",
"number": "1699965962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 S HAM LN",
"city": "LODI",
"state": "CA",
"postal_code": "952423512",
"telephone_number": "209-365-1761",
"fax_number": "209-333-3673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2505 W HAMMER LN",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952092839",
"telephone_number": "209-365-1761",
"fax_number": "209-333-3673"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARVEY A. GILBERT, MD. INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-01",
"last_updated": "2008-01-04",
"status": "A",
"authorized_official_last_name": "GILBERT",
"authorized_official_first_name": "HARVEY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER/DIRECTOR",
"authorized_official_telephone_number": "209-365-1761",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A923390",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0103050",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C283720",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.